No office rate
43281 reports the laparoscopic paraesophageal hernia repair. Add 43283 only when the surgeon also performs esophageal lengthening.
On this page
CMS RVU26D · Effective 2026-10-01
43283 Esophageal lengthening Medicare reimbursement rates in Wisconsin
Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty. Compare 43283 office and facility rates across CMS payment localities in Wisconsin.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 43283 in Wisconsin?
Wisconsin has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$124.18
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gastrointestinal surgery
About 43283: Laparoscopic esophageal lengthening procedure
Reported with laparoscopic paraesophageal hernia repair when a short esophagus requires surgical lengthening, typically by a Collis gastroplasty.
This add-on represents laparoscopic surgical lengthening of the esophagus, commonly performed as a Collis gastroplasty. A foregut or general surgeon may perform it during laparoscopic repair of a paraesophageal hernia when mobilization leaves too little esophagus below the diaphragm for a tension-free repair. The surgeon creates additional esophageal length using the stomach; routine esophageal mobilization alone is not the lengthening service.
Report 43283 only with its qualifying primary laparoscopic paraesophageal hernia repair, 43281 or 43282. The operative report should establish that a short esophagus remained after mobilization and describe the lengthening actually performed. Do not report it merely because the surgeon dissected or repositioned the esophagus during hernia repair. CMS treats this as an add-on code billed with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 43283
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.88 · 68%
- Practice expense (office) RVU0.64 · 15%
- Malpractice RVU0.73 · 17%
687
Medicare services in 2024 · #3281 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
43283 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
43282 reports laparoscopic paraesophageal hernia repair with mesh. It is a primary procedure; 43283 separately represents qualifying esophageal lengthening performed with it.
No office rate
43280 represents laparoscopic fundoplasty. It does not describe lengthening a short esophagus; 43283 is for the additional lengthening procedure.
Compare 43283 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Wisconsin →
Office / nonfacility
Unavailable
Facility
$124.18
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 43283 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
5,207
- Code
- 43283
- Physician work
- 2.88
- Practice expense
- 0.64
- Malpractice
- 0.73
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.88 | × 1.000 | 2.8800 |
| Practice expense | 0.64 | × 0.958 | 0.6131 |
| Malpractice | 0.73 | × 0.308 | 0.2248 |
| Total RVUs | 3.7180 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$124.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.88 | 1 |
| Practice expense | 0.64 | 0.958 |
| Malpractice | 0.73 | 0.308 |
(2.88 × 1 + 0.64 × 0.958 + 0.73 × 0.308) × $33.4009 = $124.18
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
43283 billing questions
When is 43283 appropriate during paraesophageal hernia repair?
Report it when the surgeon performs an actual laparoscopic esophageal lengthening, such as a Collis gastroplasty, because mobilization alone did not provide adequate esophageal length for the repair.
Which primary codes can be paired with 43283?
Pair it with laparoscopic paraesophageal hernia repair code 43281 or 43282, as supported by the operative report.
Can 43283 be reported for esophageal mobilization alone?
No. The record should describe a lengthening procedure, not just dissection or mobilization performed as part of the hernia repair.
What documentation supports reporting 43283?
Document the inadequate esophageal length after mobilization, the lengthening technique performed, and the associated primary hernia repair.
How does CMS treat payment for this add-on code?
CMS requires it to be billed with a primary procedure and pays it within that procedure’s global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,20443280,,Laparoscopy fundoplasty,A,,17.65,8.05,NA,8.05,,4.60,30.30,30.30,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20543281,,Lap paraesophag hern repair,A,,25.94,9.97,NA,9.97,,6.75,42.66,42.66,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20643282,,Lap paraesoph her rpr w/mesh,A,,29.35,10.91,NA,10.91,,7.70,47.96,47.96,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20743283,,Lap esoph lengthening,A,,2.88,0.64,NA,0.64,,0.73,4.25,4.25,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20843284,,Laps esophgl sphnctr agmntj,A,,9.88,6.25,NA,6.25,,2.63,18.76,18.76,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,20943285,,Rmvl esophgl sphnctr dev,A,,10.21,6.33,NA,6.33,,2.73,19.27,19.27,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,21043286,,Esphg tot w/laps moblj,A,,53.63,20.84,NA,20.84,,13.71,88.18,88.18,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,